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我们诊治了1例以脑膜炎症状为主的在本地区少见的流行性斑疹伤寒。本例的特点为剧烈头痛,高热,昏迷,抽搐,呕吐,皮疹。而典型的流行性斑疹伤寒所具有的如发病在冬春、患者有体虱、易并发心肌炎和肺部感染、肝脾肿大特别脾肿大等的流行病学资料和临床症状与体征却缺如。特报告以供参考。女性,18岁,外县来市建筑工人,住本市东山区某宾馆建筑工地工棚。 1983年8月19日因发热头痛嗜睡呕吐3天入院。入院前5天自觉疲乏,胃纳差,仍照常上班。3天前中午发热38℃,头晕头痛,畏寒。到工地卫生站看病,服药丸后体温不降。第2天体温39℃,头痛加剧,频
We have treated 1 case of epidemic typhus, a rare case of meningitis in our region. This example is characterized by severe headache, fever, coma, convulsions, vomiting, rash. The typical epidemic typhus, such as the incidence of onset in winter and spring, patients with body lice, easily complicated by myocarditis and lung infections, hepatosplenomegaly splenomegaly, especially the epidemiological data and clinical symptoms and signs are Missing. Special report for reference. Female, 18 years old, construction workers from other counties to the city, live in the city of Dongshan District, a hotel construction site shed. August 19, 1983 because of fever, headache, drowsiness and vomiting admitted to hospital for 3 days. 5 days before admission fatigue, poor appetite, still working as usual. 3 days ago noon fever 38 ℃, dizziness, headache, chills. To the site health station doctor, taking the pill body temperature does not drop. Body temperature 39 ℃ on day 2, headache aggravated, frequency